Surgery for acne scars

Surgery for Acne Scars At A Glance

  • Best Results1-4 sessions
  • Treatment Recovery5 days
  • Procedure Time5 to 30 mins10-60 min
  • Skin SpecialistDavin Lim, Dermatologist
  • Duration of ResultsLife (if acne controlled)
  • AnaestheticBlocks
  • Back to Work2-5 days
  • Cost$$ Partial Medicare rebate in most cases

Surgery for acne scars

Subcision & surgery is important to master & apply if & when required. Simple excision can improve & remove certain types of acne scars. Surgical procedures include punch excision, punch elevation, surgical excision, surgical scar elevation, complex surgery & subcision methods.

FactsFacts on Surgery for Acne Scars

  • Deep scars are best treated with surgery
  • Scar patterns include ice picks, linear, broad atrophic scars
  • Punch excision is the most common surgical procedure
  • Punch & surgical elevation are required for depressed scars
  • Simple excision for linear scars in suitable locations
  • Surgical subcision is covered on this website
  • Surgical skill sets are a must when treating acne scars

Why is surgical expertise required in the management of acne scars?

Deep scars are out of reach with lasers, microneedling, RFM & even deep chemical peels. These scars require surgical procedures to remove them entirely. Surgery is called on for specific scar types.

acne scar surgery
Surgical skills are mandatory for scar revision.

When is surgery required to treat scars?

This method is employed when scars lend themselves to surgical intervention. As a guide the following acne scar patterns are best treated with surgical techniques-

  • Deep ice pick & pick scars: Excision, punch excision
  • Linear scars: Simple closure
  • Geographical scars: Surgical design & complex closure
  • Bridging scars: Excision
  • Depressed demarcated scars, broad base: Surgical elevation
  • Smaller depressed scars (2-7 mm): Punch excision
  • Attached & fibrotic scars: Surgical subcision

What types of acne scars are treated with surgery?

Classic scars include ice pick & linear scars orientated in RST (relaxed skin tension lines).

Other variants include broad based scars, & bridging acne scars.

subcision for scars
The greater the selection of instrumentation, the better the treatment. Apply instruments as required or called upon.

What is punch & surgical excision?

Punches are employed for deep & narrow ice picks. This special tool is like a cookie cutter. Punches come in 1,2,3,4,5,6,7 mm sizes. I pick a size depending on the width & angle of the ice pick. This technique is a surgical method to remove the scar in total. It requires a suture that remains for 5-6 days.

Davin’s Viewpoint on Surgical Techniques for Acne Scars

Surgery is important to master in the management of acne scars. Linear, ice pick, pick, geometrical, & broad based depressed scars can be effectively treated with surgery. In some cases, surgery is not only an option, it is the treatment of choice.

Most of my revision procedures are based upon treating scar patterns with methods. Scar revision at a specialist level is never about the piece of equipment, it is about applying methods to cases. In some cases it is surgical, in others, peels, lasers & devices maybe appropriate.

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